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12. What Is the depth to groundwater? 2n' - 2S, <br /> Describe the source of Information: <br /> RFrnp TNTFRNATTnAsai RppnpTC <br /> 13. Are there any water wells on this parcel or adjacent properties? YESXfl NO[j <br /> ALL OF THE MONITORING WELLS AROUND THE TANK AREA WILL BE REMOVED PRIOR TO THE TANKS COMING OUT <br /> EXCEPT MW3 AND MW6 <br /> TYPS OF WSLL4 DISTANCE TO TANBS(S) <br /> Public Wall it <br /> Private Well tt <br /> Irrigation Well tt <br /> S6 <br /> Monitoring Well S6 ft W �j <br /> Other it. <br /> 14. Will the tank(s)pending closure be replaced with an aboregroond or underground storage tank(s)?YSS[)N0K <br /> 15. Indicate the responsible party to be billed for additional PHS-SHD staff time expended beyond 3 hour minimum permit payment <br /> per tank. If the party designated below Is different than the permit applicant,e.g.property owner,the party must acknowledge <br /> this responsibility for the billing by signature and date below. <br /> Name PERMIT APPLICANT <br /> Halling Address <br /> Day Phone Number L ) <br /> Signature Tide Date <br /> i <br /> EH 23 046(Revised 08/13/99) Page 6 <br />